Symptoms of dyskinesia of the gallbladder

The appearance of certain symptoms of dyskinesia of the gallbladder will depend on the degree of violation of the motor function of the gallbladder and the type of dyskinesia.

Hypermotor dyskinesia of the gallbladder, or hypertonic dyskinesia of the gallbladder, most often manifests itself as episodically troubling painful attacks in the region of the liver (right under the ribs), or diffuse pain in the right part of the abdominal cavity.

The pain appears due to a sharp jump in pressure in the gallbladder, most often after another intake of fatty, spicy or very cold food, or after a nervous strain. Pain syndrome occurs and grows after about 60 minutes or more after the last meal. Pain can be given to other organs: for example, some patients talk about pain in the heart, in the shoulder and scapula, more often on the right side.

Sometimes painful attacks occur simultaneously with attacks of nausea and vomiting, as well as disorders of intestinal function. Possible development of vasomotor and neurovegetative symptoms:

• lowering blood pressure;
• cardiopalmus;
• insomnia;
• increased sweating;
• pain in the head, irritability.

Possible reactions from other digestive organs. This manifests itself as a violation of the motility of the stomach and intestines, stagnant phenomena in the duodenum, pylorospasm.

Hyperkinetic dyskinesia of the gallbladder manifests itself when the patient is examined. While feeling the area of the right hypochondrium, the patient marks soreness, but the body temperature is within the norm, which is a distinctive sign of dyskinesia and cholecystitis. ESR and the number of leukocytes in the blood are normal.

In the interval of time between attacks there may be a feeling of heaviness in the area of the organ. The feeling of the abdomen indicates a slight soreness on the right side of the abdomen.

Hypomotor dyskinesia of the gallbladder, or hypotonic dyskinesia of the gallbladder, manifests itself in the form of permanent deafness in the liver region without signs of painful spread to other organs. Stressful and psychoemotional stressful stressful situations or the use of undesirable products can increase pain, there is a feeling of internal pressure at the site of the projection of the organ. Patients noted a lack of cravings for food, "empty" belching, attacks of nausea, bitter taste in the mouth, flatulence, upset of the chair (often constipation).

When feeling, you can find some soreness in the right hypochondrium. The positive symptom of Ortner is a sharp painfulness when the palm is tapped with the edge of the right rib-arch.

There may be a neurosis-like syndrome, which manifests itself in the instability of the emotional state, irritability and a constant sense of fatigue.

[1], [2], [3], [4], [5], [6], [7]

Constipation for dyskinesia of the gallbladder

Bile is not only involved in the digestion of fats. In addition, bile neutralizes gastric acid, which enters the small intestine with food, and also activates the peristalsis (progressive progressive movements) of the intestine, suppresses the processes of fermentation and decay of food masses.

When processed food in the stomach enters the 12-colon, a signal is given to the gallbladder that bile is needed to process the fatty component of the food. The gallbladder shrinks and feeds bile into the 12-colon, where the process of digestion of fats begins. Further, bile with food enters the lower parts of the intestine: it is from this moment that the intestine, sensing the presence of bile, begins to make peristaltic translational movements, so that the food mass can move through the small intestine into the thick, providing a natural process of defecation.

If bile is not enough or not at all, then the peristalsis of the intestine slows down, an atony, a weakness of the peristalsis. This condition is manifested by constipation - a prolonged stool delay (more than 48 hours) with obstructed defecation.

If the bile is released constantly, uncontrollably and in large quantities - most likely, we will observe the reverse picture: diarrhea, or diarrhea.

[8], [9], [10], [11], [12]

Dyskinesia of the gallbladder in children

Dyskinesia of the gallbladder most often occurs in adolescence, due to a violation of the central nervous system, past infectious diseases, malnutrition or the development of an allergic reaction. Children can also develop the disease in two scenarios: hypertonic and hypotonic type.

The main reasons for the development of dyskinesia of the gallbladder in children are:

• weakness and vulnerability of the nervous system;
• excessive excitability of the autonomic nervous system;
• muscle immaturity.

An important role in the appearance of the disease is played by malnutrition:

• rare meals;
• eating a lot of food in one sitting;
• forced feeding when the child does not want to eat or is already fed;
• frequent use of fast food, fatty and spicy food.

The disease at an early stage can not particularly bother, sometimes manifested in the form of a disorder of the stool, a slight sense of heaviness in the right hypochondrium, especially after the child has eaten fried or fatty.

With the progression of dyskinesia, there is a paroxysmal or deaf pain in the liver region, which increases after taking "wrong" food, after physical training or a stressful situation. Sometimes there is a dirty yellow coating on the tongue, bitter taste in the mouth, nausea.

Diagnosis of the disease in children is not difficult: it is based on a characteristic clinical picture and the results of laboratory tests and ultrasound.

[13], [14], [15], [16], [17]

Dyskinesia of the gallbladder in pregnancy

During pregnancy, the tone of certain organs, including the gall bladder, decreases slightly. This sign is due to the action of one of the main hormones of pregnancy - progesterone. As a result of a decrease in tone, the gallbladder is not fully emptied, there remains bile, which, stretching the walls of the bladder, provokes pain in the right hypochondrium. In addition, the outflow of bile is broken and for one more reason: this is an increase in the size of the uterus, which in the II and III trimester presses on all surrounding organs, including the liver and gallbladder.

What can a woman feel at the same time:

• the lack of appetite, the appearance of heartburn and an "empty" eructation;
• bloating;
• increased pain after nervous stress or with a disturbed diet;
• sleep disturbance, increased sweating.

Dyskinesia of the gallbladder during pregnancy can be adjusted if you adhere to proper nutrition, do not overeat, do not abuse harmful foods that contain a lot of fat, spices, salt, preservatives and dyes.

[18], [19]